Pill with imprint PLIVA 648 is White, Capsule-shape and has been identified as Fluoxetine Hydrochloride 20 mg. It is supplied by Teva Pharmaceuticals USA. Fluoxetine is used in the treatment of anxiety and stress; major depressive disorder; bulimia; depression; premenstrual dysphoric disorder and belongs to the drug class selective serotonin reuptake inhibitors. Fluoxetine 20 mg is not a controlled substance under the Controlled Substances Act (CSA).
About Pliva 648
Pliva 648 is a type of antidepressant known as an SSRI (selective serotonin reuptake inhibitor). It is often used to treat depression, and also sometimes obsessive compulsive disorder and bulimia. Pliva 648 helps many people recover from depression, and it has fewer unwanted effects than older antidepressants. Pliva 648 pill is available only on prescription. It comes in capsules.
- It usually takes 4 to 6 weeks for Pliva 648 pill to work.
- Common side effects include feeling sick (nausea), headaches and trouble sleeping. They are usually mild and go away after a couple of weeks.
- If you and your doctor decide to take you off Pliva 648 capsule, your doctor will probably recommend reducing your dose gradually to help prevent extra side effects.
- Pliva 648 is called by the brand name Prozac.
Who can and can’t take Pliva 648 Capsule?
Pliva 648 can be taken by adults for depression, obsessive compulsive disorder and bulimia.
Pliva 648 pill can be taken by children aged 8 years or older for depression.
Check with your doctor before starting to take Pliva 648 if you:
- have had an allergic reaction to Pliva 648 or any other medicines in the past
- have a heart problem, as Pliva 648 can pill speed up or change your heartbeat
- have ever taken any other medicines for depression. Some rarely used antidepressants can interact with Pliva 648 to cause very high blood pressure even when they have been stopped for a few weeks
- are trying to become pregnant, are already pregnant or you are breastfeeding
- have an eye problem called glaucoma because Pliva 648 can increase the pressure in your eye
- have epilepsy or are having electroconvulsive treatment – Pliva 648 may increase the risk of having a seizure
If you have diabetes, Pliva 648 can make it more difficult to keep your blood sugar stable. Monitor your blood sugar more often for the first few weeks of treatment with Pliva 648 and adjust your diabetes treatment if necessary.
How and when to take it?
Take Pliva 648 once a day. You can take it with or without food. You can take Pliva 648 at any time, as long as you stick to the same time every day. If you have trouble sleeping, it’s best to take it in the morning.
How much to take?
The usual dose of Pliva 648 is 20mg a day in adults. However, you may be started at a lower dose which is gradually increased to a maximum dose of 60mg a day. Some people might need to take a lower dose of Pliva 648, or to take it less often. This includes people with liver problems, and elderly people. The usual dose of Pliva 648 in children is 10mg a day but this may be increased to 20mg a day.
What if I forget to take it?
If you occasionally forget to take a dose, don’t worry. Take your next dose the next day at the usual time. Never take 2 doses at the same time to make up for a forgotten one. If you forget doses often, it may help to set an alarm to remind you. You could also ask your pharmacist for advice on other ways to help you remember to take your medicine.
What if I take too much?
The amount of Pliva 648 that can lead to an overdose varies from person to person.
Urgent advice: Call a doctor straight away if:
You’ve taken too much Pliva 648 by accident and experience symptoms such as:
- being sick (vomiting)
- feeling sleepy
- feeling agitated
- heart problems
- lung problems
- fits (seizures)
If you need to go to a hospital accident and emergency (A&E) department, do not drive yourself – get someone else to drive you or call for an ambulance.
Take the Pliva 648 packet, or the leaflet inside it, plus any remaining medicine with you.
Like all medicines, Pliva 648 can cause side effects in some people, but many people have no side effects or only minor ones. Some of the common side effects of Pliva 648 will gradually improve as your body gets used to it.
Common side effects
These side effects happen in more than 1 in 100 people. Keep taking the medicine, but tell your doctor or pharmacist if these side effects bother you or don’t go away:
- feeling sick (nausea)
- being unable to sleep
- feeling tired or weak
Serious side effects
It happens rarely (in less than 1 in 100 people), but some people may have serious side effects when taking Pliva 648.
Go to A&E immediately if you get:
- chest pain or pressure, or shortness of breath
- severe dizziness or passing out
- painful erections that last longer than 4 hours – this may happen even when you are not having sex
- any bleeding that is very bad or that you cannot stop, such as cuts or nosebleeds that don’t stop within 10 minutes
Call a doctor straight away if you get:
- headaches, trouble focusing, memory problems, not thinking clearly, weakness, seizures, or losing your balance – these can be signs of low sodium levels
- thoughts about harming yourself or ending your life
- fits, feelings of euphoria, excessive enthusiasm or excitement, or a feeling of restlessness that means you can’t sit or stand still
- vomiting blood or dark vomit, coughing up blood, blood in your pee, black or red poo – these can be signs of bleeding from the gut
- bleeding from the gums or bruises that appear without a reason or that get bigger
Book an appointment with a doctor if you experience:
- weight gain or weight loss without trying
- changes in your periods such as heavy bleeding, spotting, or bleeding between periods
Serious allergic reaction
In rare cases, it’s possible to have a serious allergic reaction (anaphylaxis) to Pliva 648.
Immediate action required: Call 999 or go to A&E if:
- you get a skin rash that may include itchy, red, swollen, blistered or peeling skin
- you’re wheezing
- you get tightness in the chest or throat
- you have trouble breathing or talking
- your mouth, face, lips, tongue or throat start swelling
- You could be having a serious allergic reaction and may need immediate treatment in hospital.
These are not all the side effects of Pliva 648. For a full list see the leaflet inside your medicines packet.
How to cope with side effects
You can reduce the chance of having a side effect if you take Pliva 648 in the evening so that you’re asleep when the level of medicine in your body is highest.
What to do about:
- feeling sick (nausea) – try taking Pliva 648 with or after food. It may also help to stick to simple meals and avoid rich or spicy food.
- headaches – make sure you rest and drink plenty of fluids. Do not drink too much alcohol. Ask your pharmacist to recommend a painkiller. Headaches should usually go away after the first week of taking Pliva 648. Talk to your doctor if they last longer than a week or are severe.
- being unable to sleep – take Pliva 648 pill first thing in the morning.
- diarrhoea – drink plenty of water or other fluids to avoid dehydration. Signs of dehydration include peeing less than usual or having dark strong-smelling pee. Do not take any other medicines to treat diarrhoea or vomiting without speaking to a pharmacist or doctor.
- feeling tired or weak – if Pliva 648 pill makes you feel tired or weak, stop what you’re doing and sit or lie down until you feel better. Do not drive or use tools or machinery if you’re feeling tired. Do not drink alcohol as it will make you feel worse. If these symptoms don’t go away after a week or two, ask your doctor for advice.
Pregnancy and breastfeeding
It’s important for you and your baby that you stay well during your pregnancy. If you become pregnant while taking Pliva 648 speak to your doctor. Do not stop taking your medicine unless your doctor tells you to.
Pliva 648 has been linked to a very small increased risk of problems for your unborn baby. However, if your depression is not treated during pregnancy this can also increase the chance of problems.
You may need to take Pliva 648 pill during pregnancy if you need it to remain well. Your doctor can explain the risks and the benefits, and will help you decide which treatment is best for you and your baby.
For more information about how Pliva 648 capsule can affect you and your baby during pregnancy, read this leaflet on the Best Use of Medicines in Pregnancy (BUMPS) website.
Pliva 648 and breastfeeding
If your doctor or health visitor says your baby is healthy, Pliva 648 can be used during breastfeeding. It has been used in many breastfeeding mothers without any problems. Pliva 648 passes into breast milk, usually in small amounts. It has been linked with side effects in very few breastfed babies.
It is important to continue taking Pliva 648 to keep you well. Breastfeeding will also benefit both you and your baby. If you notice that your baby isn’t feeding as well as usual, or seems unusually sleepy, or if you have any other concerns about your baby, then talk to your health visitor or doctor as soon as possible.
Cautions with other medicines
Some medicines and Pliva 648 can interfere with each other and increase the chances of you having side effects.
Tell your doctor if you’re taking these medicines before you start Pliva 648:
- any medicines that affect your heartbeat – as Pliva 648 can speed up or change your heartbeat
- any other medicines for depression. Some rarely used antidepressants can interfere with Pliva 648 to cause very high blood pressure even when they have been stopped for a few weeks.
Mixing Pliva 648 with herbal remedies and supplements
Do not take St John’s wort, the herbal remedy for depression, while you are being treated with Pliva 648 as this will increase your risk of side effects. Read: Can Fluoxetine (Prozac) Get You High?